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NERRS Jan 2014 Pediatric Radiology Case Answers
1. NERRS Jan 2014
Pediatric Radiology
Unknown Cases
Kirsten Ecklund, M.D.
Clinical Vice Chair of Radiology
Division Chief Musculoskeletal Imaging
Boston Children’s Hospital
Assistant Professor of Radiology
Harvard Medical School, Boston, MA
15. Metastatic renal medullary carcinoma
• Demographics:
– Seen almost exclusively in pts with sickle trait
– Age range = 11 – 39, Male: female=3:1
• Symptoms: pain, hematuria, wt loss
• Renal mass imaging features
– Infiltrative, associated necrosis, caliectasis
– More commonly right-sided
• Often widely metastatic at dx
– Pulm lymph spread is common